Anal/urinary muscle study at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$587.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$979.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$62.88 with United Healthcare Community Plan for Families vs $1,713.32 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $62.88 | ↓ -89% |
| Prime Net | Managed Medicare | $161.53 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $195.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $195.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $227.91 | ↓ -61% |
| Aetna | Medicare | $243.24 | ↓ -59% |
| Cigna | Medicare | $244.87 | ↓ -58% |
| Geisinger | Medicare | $244.87 | ↓ -58% |
| United Healthcare | Medicare | $249.53 | ↓ -58% |
| Keystone Autism Services | ACAP | $373.14 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $401.39 | ↓ -32% |
| Aetna | ACO | $404.33 | ↓ -31% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $466.98 | ↓ -21% |
| Aetna | Commercial | $469.92 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $538.45 | ↓ -8% |
| United Healthcare | Commercial | $558.00 | ↓ -5% |
| Geisinger | Commercial | $641.05 | ↑ +9% |
| UPMC Health Plan | Commercial | $685.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $685.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $729.36 | ↑ +24% |
| Cigna | Commercial | $763.62 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $772.48 | ↑ +32% |
| Highmark BCBS of PA | Commercial | $821.88 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $832.15 | ↑ +42% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +123% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +123% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +123% |
| UPMC Health Plan | CHIP | $1,713.32 | ↑ +192% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,198.20 | $213.68 – $1,597.60 |
| UPMC Carlisle | Carlisle | $587.40 | $62.88 – $832.15 |
| UPMC Community Osteopathic | Harrisburg | $587.40 | $62.88 – $1,713.32 |
| UPMC East | Monroeville | $2,734.80 | $232.50 – $3,646.40 |
| UPMC Hamot | Erie | $2,310.60 | $233.83 – $545.04 |
| UPMC Hanover | Hanover | $587.40 | $62.88 – $1,713.32 |
| UPMC Lititz | Lititz | $587.40 | $62.88 – $1,713.32 |
| UPMC Magee | Pittsburgh | $2,410.80 | $217.01 – $550.23 |